B2: Breaking the rules and co-developing better care systems from the inside out


Thursday 11 April 2024 | 13:15–14:30


Format: Workshop


Stream: Change


Content filters: Recommended for those working at system level in QI


Sometimes we may inadvertently create processes or policies that have an unintended impact on the people we work to serve and support. As is often the case in complex production systems, much wisdom lies within the workforce and among those they serve. If asked, in a safe environment, to identify senseless obstacles to productive work, they can and will do so in service of providing better care for patients, care-partners, and families. Through a dynamic set of activities and engagements, attendees will leave this session with frameworks, tools, and stories aimed at accelerating work of advancing system change from the inside out. 


As a result of this session, participants will be able to:



  • Identify perceived boundaries that are impacting innovative improvement within one’s organisation

  • Explore how to both surface and respond to rules or boundaries that contribute to poor patient care and staff burnout

  • Apply practical principles today (and tomorrow) for engaging staff, patients, and care partners in improvement-led organizational change


Jill Duncan Institute for Healthcare Improvement (IHI), USA (chair)


Donald M Berwick Institute for Healthcare Improvement (IHI) USA (chair)


PART 1: A new co-developed framework for successfully engaging staff in major change 


Evidence increasingly shows that engaging staff well in major change processes can increase their effectiveness and sustainability. This session will present a new 10-point practical framework for doing this well. It emphasises co-ownership, inclusion, appreciative leadership, psychological safety, structured communication and improvement principles.


Henry Cann The Health Foundation, England


Matt Hill The Health Foundation, England


 


PART 2: Don’t fence me in! 


This session is for all who, from time to time, feel fenced in for whatever reasons!


We will share from experience and recent research how the ‘garden fences’ that can frustrate and seem to restrict, can also become opportunities for growth and learning.


Healthcare improvement efforts will themselves improve as all practitioners develop new mindsets and skills for working on the boundaries.


Stefan Cantore University of Sheffield, England